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Insurance The Unconscionability of Emergency Room Cash Pay Contracts Imagine rushing to an emergency room after developing chest pain and shortness of breath. A staff member hands you a financial responsibility contract that you sign without reading. A physician diagnoses you with a heart attack and performs an angioplasty. Published April 25, 2025 Photo Credit Rupa Palanki Share Share on LinkedIn Share on X Share on Facebook Share on Reddit Imagine rushing to an emergency room after developing
Sen. Bill Cassidy’s report calls on Congress to improve program transparency, like requiring covered entities to show how they use 340B funds. Drug groups praised the findings, while hospitals argued the analysis was limited in scope.
It’s always great to be able to stop by the PointClickCare Summit. This event brings together some of the leading post acute care organizations. Plus, with PointClickCare’s acquisition of Collective Medical, there’s a lot of talk about acute care and bridging the gap between post acute care and acute care. When I think back to past PointClickCare Summits, I remember the attendees being quite morose and down about post acute care given everything that had happened during COVID a
What You Should Know: – Arine , a leader in AI-driven medication optimization, and MDX Hawaii , the largest senior care focused provider enablement company in Hawaii, today announced a strategic partnership to improve patient outcomes and lower healthcare costs. –This collaboration will enable MDX Hawaiis network of providers to leverage Arines advanced AI-powered clinical decision support and medication optimization capabilities, ensuring patients receive the most effective, safe, a
Discover everything healthcare providers need to know about secure messaging. Covering essential topics like HIPAA compliance, communication efficiency, and patient privacy protection, this resource is indispensable for professionals, caregivers, and administrative staff alike.📱 💬 Whether managing sensitive patient data, coordinating care teams, or streamlining workflows, discover actionable insights to implement secure messaging solutions effectively.
Happy Friday Everyone! We hope you had an amazing week and ready to kick off the start to your weekend. That’s why we’re back with another edition of Fun Friday where we hope we can entertain you and bring a smile to your face to start the weekend off right. This week we’re featuring a couple videos from Dr. Glaucomflecken. View this post on Instagram A post shared by Dr.
What You Should Know: – Kiwi , a healthcare financial platform, announced its official launch, bolstered by a $10M seed funding round. The $10M seed round comprises $2M in pre-seed equity financing and $8M in debt financing allocated initially for Peru, with a potential extension planned for Mexico. The round saw leadership from key industry figures: Tyler Johnson (CEO at HFD, General Partner at MVRK Capital), Beau Woodward (Director at HFD, General Partner at MVRK Capital and WDC Genesis)
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What You Should Know: – Kiwi , a healthcare financial platform, announced its official launch, bolstered by a $10M seed funding round. The $10M seed round comprises $2M in pre-seed equity financing and $8M in debt financing allocated initially for Peru, with a potential extension planned for Mexico. The round saw leadership from key industry figures: Tyler Johnson (CEO at HFD, General Partner at MVRK Capital), Beau Woodward (Director at HFD, General Partner at MVRK Capital and WDC Genesis)
VisiQuate , a leader in AI-powered revenue cycle management (RCM), has acquired Rotera , strengthening AI-driven automation in healthcare. This strategic acquisition enhances VisiQuate’s Machina Automation Studio, delivering next-generation agentic AI to help healthcare organizations optimize financial operations and reduce manual intervention. “VisiQuate has long been a pioneer in revenue cycle automation, and acquiring Rotera expands that strength in a way that fundamentally reshap
Pathology comes with its own unique set of operational complexities, particularly when it comes to medical billing. Accurately coding and billing for specimen analysis, diagnostic interpretations, and laboratory tests requires specialized knowledge that goes beyond standard medical billing practices. Many pathology practices still handle billing in-house, often facing a growing tide of regulatory hurdles, evolving payer rules, and shrinking reimbursement margins.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
What You Should Know: – Precision for Medicine , a provider of next-generation drug development research and services, and PathAI , a global leader in digital pathology, announced a strategic collaboration today. – The partnership aims to jointly develop novel AI-based technologies and integrate PathAIs advanced digital pathology and analysis capabilities across Precision for Medicines comprehensive clinical trial and biospecimen operations.
VMG published its 2025 Health Care M&A Report. Key takeaways: 1) Health systems are focused on portfolio optimization and improving operating margins; 2) the use of AI is a key strategy being employed by health systems to improve financial performance; and 3) health systems are creating joint ventures with ancillary providers (outpatient, behavioral health and post-acute) to create more comprehensive care models.
What You Should Know: – ConcertAI announced a multi-year agreement with Bayer to leverage ConcertAI’s Translational360 and AI SaaS solutions, which use artificial intelligence and machine learning (AI/ML)-derived insights to accelerate clinical development in precision oncology. –The agreement will fully leverage ConcertAIs newly launched Translational360 , an integrated research-grade longitudinal clinical molecular database that taps into the CancerLinQ network of de-identifi
By Nathan Elliott - NCQA provides a nationally recognized standard for validating an organizations ability to collect, aggregate, and standardize healthcare data for quality measurement and reporting, such as Healthcare Effectiveness Data and Information Set (HEDIS). It represents more than 72% of the U.S. population. The post Understanding the Importance of NCQA Data Aggregator Validation appeared first on Health IT Answers.
Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.
Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.
In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.
HANYS' expert faculty will share proven techniques for effective multi-divisional communication, financial management, conflict resolution and strategies to successfully transition from peer to supervisor. Learn more and register online.
The Workers' Compensation Board is offering training for providers to prepare for the mandatory electronic submission of the CMS-1500 beginning on Aug. 1. Register online for an upcoming session in May, June or July.
What You Should Know: – Researchers at Mount Sinai have enhanced an existing artificial intelligence (AI) algorithm to provide specific numeric probabilities identifying patients at risk for hypertrophic cardiomyopathy (HCM), a common inherited heart condition, based on their electrocardiogram (ECG) readings. – The calibration of the FDA-approved Viz HCM algorithm, detailed in a study published April 22, 2025, in NEJM AI , aims to provide more meaningful and actionable information to
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.
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